| LCA CASE NUMBER | I-200-17064-763682 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/5/2017 |
| DECISION DATE | 3/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/14/2017 |
| EMPLOYMENT END DATE | 8/13/2020 |
| LCA CASE EMPLOYER NAME | NESHOBA COUNTY GENERAL HOSPITAL -NURSING HOME |
| EMPLOYER ADDRESS | 1001 HOLLAND AVENUE |
| EMPLOYER CITY | PHILADELPHIA |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39350 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6016631200 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | WALKER, BARRY |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 19-1042 |
| SOC NAME | MEDICAL SCIENTISTS, EXCEPT EPIDEMIOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 54,330.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 275,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | PHILADELPHIA |
| WORKSITE COUNTY | NESHOBA |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39350 |
